KENNETH ALLEN JONGSMA DO - Registered Nurse License in Indiana | # 041259968

KENNETH ALLEN JONGSMA DO

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041259968

License Status

NOT RENEWED

Business

N

Title

DO

First Name

KENNETH

Middle

ALLEN

Last Name

JONGSMA

Business Name

KENNETH ALLEN JONGSMA DO

Original Issue Date

09/29/1990

Effective Date

09/29/1990

Expiration Date

05/31/2000

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006